Form 1—Information Pertaining to Initial Order


(To be filed with the Superintendent of Bankruptcy under paragraph 23(1)(f) of the Companies' Creditors Arrangement Act)

The following information pertains to the order made on the initial application in respect of space to insert name of debtor company (name of debtor company):

1. Name of court, judicial district and court file number:

space to insert name of court

space to insert judicial district

space to insert court file number

2. Date on which order is made:

space to insert date

3. Debtor company's head office address, telephone number and Web site address, if any:

space to insert debtor company's head office address

space to insert telephone number

space to insert Web site address

4. Names under which debtor company carries on business, if different from name set out above:

space to insert names under which debtor company carries on business, if different from name set out above, line 1

space to insert names under which debtor company carries on business, if different from name set out above, line 2

5. Name and Web site address of monitor:

space to insert name and web site address of monitor, line 1

space to insert name and web site address of monitor, line 2

space to insert name and web site address of monitor, line 3

6. Name, address, telephone number and e-mail address of monitor's representative responsible for the proceedings:

space to insert name of monitor's representative responsible for the proceedings

space to insert address and telephone number of monitor's representative responsible for the proceedings

space to insert e-mail of monitor's representative responsible for the proceedings

7. Web page address created for the proceedings, if any:

space to insert Web page address created for the proceedings, if any, line 1

space to insert Web page address created for the proceedings, if any, line 2

Dated at space to insert city, space to insert province, on space to insert day and month, 20space to insert year.

space to insert signature of monitor's representative responsible for the proceedings
Monitor's representative
responsible for the proceedings


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